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This is VAERS ID 1738873

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First Appeared on 10/15/2021

VAERS ID: 1738873
VAERS Form:2
Age:25.0
Sex:Male
Location:Foreign
Vaccinated:2021-09-14
Onset:2021-09-14
Submitted:0000-00-00
Entered:2021-09-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 - / -

Administered by: Other      Purchased by: ??
Symptoms: Migraine, Pain, Pyrexia, Inappropriate schedule of product administration, SARS-CoV-2 test

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Test Name: COVID-19 virus test; Result Unstructured Data: Test Result:No - Negative COVID-19 test
CDC 'Split Type': GBPFIZER INC202101217623

Write-up: Migraine; General body pain; Feverish; Dose 1: 09Jul2021; Dose 2: 14Sep2021; This is a spontaneous report from a contactable consumer. This is a report received from the regulatory authority. Regulatory authority report number GB-MHRA-WEBCOVID-202109150845324810-C1IP2, Safety Report Unique Identifier GB-MHRA-ADR 25944095. A 25-year-old male patient received the second dose of BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot Number: UNKNOWN) via an unspecified route of administration on 14Sep2021 (at the age of 25-year-old) as a single dose for COVID-19 immunisation. Medical history and concomitant medications were not reported. The patient had no symptoms associated with COVID-19 and was not enrolled in clinical trial. On an unknown date, the patient underwent COVID-19 virus test and the result was negative. The patient previously received first dose of BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot Number: UNKNOWN) via an unspecified route of administration on 09Jul2021 as a single dose for COVID-19 immunisation. On 14Sep2021, the patient experienced migraine, general body pain and feverish; all reported as a serious for being medically significant. The patient had not tested positive for COVID-19 since having the vaccine. The clinical outcome of the event migraine, general body pain and feverish was not resolved at the time of this report. No follow-up attempts are possible; information about lot/batch number cannot be obtained. No further information is expected.

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